PRIMARY CONTACT PERSON Provide contact information for the primary point person for the contest entry. First Name: Razi Last Name: Imam Title: Email: Phone: CEO razii@113Industries.com 412-779-6930 COMPANY OR INSTITUTION INFORMATION Provide contact information for your business (if you have formed a company. A company not having yet been formed will not be a detriment to your application.) 1. If your submission is a New Product or Service: Company: Website: Phone (main): Number of employees: Incorporation type: Year founded: Industry sector: 113 Industries www.113Industries.com 412-387-3113 6 LLC 2010 _________________________________ Material Science and Energy OR 2. If your submission is an academic research project: Research Institution: _____________________________________ Department: _____________________________________ ADDRESS Address1: 1000 Cliff Mine Rd Address2: Suite 330 City: Pittsburgh County: Allegheny State: Zip: PA 15275 BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 2 of 10 TEAM Provide the names and titles or areas of focus of your leadership/management/research team. Name: Title or Area of Focus: Name: Title or Area of Focus: Name: Title or Area of Focus: Name: Title or Area of Focus: Lacramioara Schulte aufm Erley Director of Innovation Anupam Singh President Razi Imam CEO Kristin Bunker Senior Scientist – Advisor to 113 Industries Name: _____________________________________ Title or Area of Focus: _____________________________________ BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 3 of 10 TECHNOLOGY DEVELOPMENT/COMMERCIALIZATION PLAN This is the most important section of the entry form. Each field has a maximum length of 800 characters, so be succinct and specific. Before beginning, review the sample entry form and contest application instructions included at the end of this document. DO NOT SUBMIT ANY ITEMS IN HARD COPY. Only applications submitted through this website will be considered. NOTE: All items submitted to this contest will be destroyed after the contest. Market Opportunity: 113 Industries High-Speed Open Innovation Energy - This service will be mostly used by major drilling, exploration and waste management companies. These companies include Fortune 500 such as Chevron, Consol Energy, Shell and Stateoil to name a few. Description of your technology/product/service: 113 Industries’ High-Speed Open Innovation Energy - This is a 60-day research program that explores embryonic, emerging and commercially available technologies from over 200 national and international universities, 250 US based federal labs, 15 patent databases covering 80 countries, 500 leading scientific journals, and 12 technology marketplaces. The global program goes beyond research to include analysis and specific technology recommendations that align with strategic and tactical exploration and environmental protection goals. Our research service finds the latest breakthrough, technological advances, and scientific discoveries in the areas of exploration, drilling, well casing, hydraulic fracturing and most of all environmental protection that can be applied to help solve some of the daunting challenges faced by Marcellus Shale companies. BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 4 of 10 The proprietary blend of technology, scientific expertise, and business acumen allows 113 to identify truly strategic technologies that will generate higher revenues and protect our environment and natural resources. Customers: There are over 200 companies just in PA that would directly benefit from our scientific research. The service we offer to our Marcellus Shale customers allows them to generate over $3B in revenue and a total job creation opportunity of over 500,000 new jobs. Customer Problem: The Marcellus Shale industry is coming under great pressure and scrutiny due to the recent reports of our water table contamination, brine water disposal, and increasing bromide levels in our rivers. In addition they are also faced with productivity, performance and technical challenges in extracting the gas. It appears their current estimates are lower which is effecting our state’s tax revenue. This is due to the lack of technological solutions they currently face. Value Proposition: As a result of the High-Speed Open Innovation Energy Program, companies will be equipped with the knowledge and technology intelligence to accomplish the following business benefits: Accelerate their ability to drill, explore and manage waste. Reduce their time to solve technological limitations and drive higher revenue streams. Achieve revenue growth through introduction of new exploration and waste management technologies Introduce new discoveries while reducing cost and technological risks BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 5 of 10 In addition, the state and regulatory agencies will benefit from having clear guidelines, a well defined monitoring system and a clean, protected and healthy environment. In summary 113 Industries is also driven by the same goals as our energy companies. Our dependence on foreign resource of energy has to be reduced. We have one the largest resources of natural gas that will provide our region with the economic vitality needed. We have the best scientific resources available in the country. 113 Industries makes it possible for our energy companies to access and utilize this technologies to help solve their technical and environmental problems. Intellectual Property: 113 Industries has developed a proprietary combination of research process, computing technology and scientific team that is hard to duplicate. The 113 Industries IP is in the associative connection of three disciplines material science, computing and research that leads to their competitive advantage. Competitive Advantage: 113 Industries have developed three areas of competitive advantage to differentiate themselves from other companies in similar fields. Companies such as 9 Sigma and Innocentive would be placed in our competitive grid. We compete on the following three areas: Breadth of Scientific Network – 200 Universities, 250 Federal Labs, 500 Scientific Journals, 80 Countries Patent Databases and 12 Technology Marketplaces. Breadth of Scientist – Material Science, Energy, Chemistry, Physics, Environmental and Nano Computing Software – Proprietary software technology that interconnects all of the above resources. Team: BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 6 of 10 Razi Imam – Founder and CEO – 100% of the time will be dedicated to this project Razi Imam is an accomplished award winning innovator, entrepreneur, and author. He has experience and knowledge of successfully innovating products and services, launching them in competitive markets, and building world-class high-performance teams. He has recently founded 113 Industries that focuses on helping companies shift their innovation strategy from being internally focused to adopting an Open Innovation model. 113 Industries drives the successful commercialization and adoption of discoveries coming out of research universities, federal labs, and research driven enterprises by mid market and Fortune 500 companies looking to introduce new products. In recognition of his entrepreneurial success, Carnegie Science Foundation has presented Razi with their prestigious award honoring innovation in Science and Technology. He has been recently appointed as an adjunct professor at Carnegie Mellon University to teach a course on "Open Innovation" starting January 2012. He is also the founder of Landslide Technologies, a sales process software company recognized as the top 100 private companies by AlwaysOn. Landslide has received wide acclaim from customers, analysts as an innovator in the SaaS industry. Based on his innovative strategies Landslide has been named ‘visionary’ three years in row by the leading analyst firm – The Gartner Group. Imam’s career spans working in Fortune 500 companies to being part of three successful startups. He has successfully launched and re-launched companies by defining their product and market strategies, repositioning them in the face of economic downturn, defining new product categories, and establishing them as the leader in their space. Razi is also the author of "Driven" a John Wiley and Sons publication. BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 7 of 10 Anupam Singh – Founder and President – 100% of the time will be dedicated to this project. Anupam Singh is an entrepreneur with over 20 years of experience in designing, building and delivering innovative solutions and services. Anupam's career path includes working in Fortune 500 companies to multiple successful startups. His experience spans individual contributor roles in software development to technology, operations and executive leadership roles. Anupam has experience in a variety of industries including high-end computer graphics, networking, procurement, global supply management, sales and marketing software. In his leadership roles at startups, Anupam has successfully attracted and assembled high performance teams. Prior to launching 113 Industries to enable open innovation for mid-market and Fortune 500 companies, Anupam co-founded Landslide Technologies Inc. in 2004. Landslide has received industry wide recognition and rave reviews from customers, analysts and press. Landslide has been recognized by Gartner as a visionary product three years in a row. It also received the Product Innovation Award by Frost & Sullivan and was selected twice as the "One to Watch" product by CRM Magazine. Prior to Landslide, Anupam worked at industry leading companies including FreeMarkets (now Ariba), FORE Systems, Hewlett Packard and Metrix Network Systems. Lacramioara Schulte auf'm Erley, Ph.D.—Director of Innovation – 100% of the time would be dedicated to this project. Technology leader with proven record of developing product driven R&D programs in advanced materials areas. Expertise in driving innovative technologies, research program management. Patents/Patent applications BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 8 of 10 Martin, C.R., Siwy, Z., Howorka, S., Kohli, P., Trofin, L., Harrell, C., C., “Chemical Particle and Biosensing with Nanopore and Nanotube Containing Membranes and Films”, filing date September 29th, 2004, UF No.:11537. Lee, SB., Trofin, L., Rae, A., “TREATED ARTICLES AND METHODS OF TREATING ARTICLES”, NanoDynamics Inc., patent application 20090022974. Lee, SB. Schulte auf’m Erley, L., Berubbe, G. DIRECTED MIGRATION OF HYDROPHOBIC NANOMATERIALS AT SURFACES, NanoDynamics, Inc., WO/2008/098069. Publications in peer reviewed journals Lee, S.B.; Mitchell, D.T.; Trofin, L.; Nevanen, T.K.; Soderlund, H.; Martin, C.R. “Antibody-Based Bio/Nanotube Membranes for Enantiomeric Drug Separations,” Science, 2002, 296, 2198-2200. Mitchell, D.T.; Lee, S.B.; Trofin, L.; Li, N.; Nevanen, T.K.; Soderlund, H.; Martin, C.R. “Smart Nanotubes for Bioseparations and Biocatalysis,” J. Am. Chem. Soc., 2002, 124, 11864-11865. Trofin, L., Lee, S. B., Mitchell, D. T., Martin, C. R.”A Ligand-Gated Ion-Channel Mimetic Nanopore Membrane with an On-board Transmembrane Microbattery.”, Journal of Nanoscience and Nanotechnology, 2004, 4, 3, 239-244. Hou, S., Harrell, C., Trofin, L., Kohli, P., Martin, C.R., “Layer-by-Layer Nanotube Template Synthesis”, J. Am. Chem. Soc., 2004, 126 (18) 5674-5675. Gasparac, R., Kohli, P., Mota, M., Trofin, L., Martin, C. R. ,”Template Synthesis of Nano Test Tubes”, Nano Letters, 2004, 3, 513-516. Kang, M., Trofin , L., Mota, M., Martin, C.R., ” Protein Capture in Silica Nanotube Membrane 3-D Microwell Arrays”, Analytical Chemistry 2005, 77(19), 62436249. Siwy, Z., Trofin, L., Kohli, P., Baker, L., Martin, C. R., “Proteins Sensing with Single Abiotic Nanopore. Application to detection of biological warfare agents.”, J. Am. Chem. Soc, 2005, 127,5000-5001. Tafazzoli A, Cheng CM, Pawashe C, Sabo E, Trofin L, Sitti M, LeDuc P. 2007 “Subfeature Patterning of Organic And Inorganic Materials Using Robotic Assembly” Journal of Material Research 22: 1601-1608. Trofin, L., LeDuc, P., “Controlled geometry fabrication of polydimethylsiloxane nanofibers for biomimetics, Journal of Applied Polymer Science, 105, 5, 2007, 2549-2552. BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 9 of 10 MISCELLANEOUS INFORMATION How did you hear about this contest? Received an email from Ben Franklin. Website of your local newspaper: http://www.bizjournals.com/pittsburgh/print-edition/2012/01/20/dont-create-jobscreate-innovation-boom.html www.postgazette.com BEN FRANKLIN TECHNOLOGY PARTNERS 2011 $50,000 Shale Gas Innovation Contest Entry Form Page 10 of 10